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Non-immune cell components in tumor microenvironment influencing lung cancer Immunotherapy - 13/09/23

Doi : 10.1016/j.biopha.2023.115336 
Jingtao Zhang a, Shuai Liu b, Xiubao Chen c, Xiangdong Xu b, , Fei Xu c, d,
a College of Traditional Chinese Medicine, Shandong University of Traditional Chinese Medicine, Jinan 250014, China 
b Central Laboratory, Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan 250014, China 
c Department of Geriatric Medicine, Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan 250014, China 
d First Clinical Medical College, Shandong University of Traditional Chinese Medicine, Jinan 250014, China 

Correspondence to: Central Laboratory, Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan, China.Central Laboratory, Affiliated Hospital of Shandong University of Traditional Chinese MedicineJinanChina.⁎⁎Correspondence to: Department of Geriatric Medicine, Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan, China.Department of Geriatric Medicine, Affiliated Hospital of Shandong University of Traditional Chinese MedicineJinanChina.

Abstract

Lung cancer (LC) is one of the leading causes of cancer-related deaths worldwide, with a significant morbidity and mortality rate, endangering human life and health. The introduction of immunotherapies has significantly altered existing cancer treatment strategies and is expected to improve immune responses, objective response rates, and survival rates. However, a better understanding of the complex immunological networks of LC is required to improve immunotherapy efficacy further. Tumor-associated antigens (TAAs) and tumor-specific antigens (TSAs) are significantly expressed by LC cells, which activate dendritic cells, initiate antigen presentation, and activate lymphocytes to exert antitumor activity. However, as tumor cells combat the immune system, an immunosuppressive microenvironment forms, enabling the enactment of a series of immunological escape mechanisms, including the recruitment of immunosuppressive cells and induction of T cell exhaustion to decrease the antitumor immune response. In addition to the direct effect of LC cells on immune cell function, the secreting various cytokines, chemokines, and exosomes, changes in the intratumoral microbiome and the function of cancer-associated fibroblasts and endothelial cells contribute to LC cell immune escape. Accordingly, combining various immunotherapies with other therapies can elicit synergistic effects based on the complex immune network, improving immunotherapy efficacy through multi-target action on the tumor microenvironment (TME). Hence, this review provides guidance for understanding the complex immune network in the TME and designing novel and effective immunotherapy strategies for LC.

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Graphical Abstract




 : 

Schematic diagram of the interaction between non-immune cell components and immune cells in the TME of LC. CAFs mediate DC cell tolerance phenotype, inhibit NK cytotoxicity, and promote M2-TAM and MDSC polarization; they participate in ECM remodeling of ECM, inhibiting immune cell infiltration, and immune checkpoint protein expression induces T cell exhaustion. ECs inhibit lymphocyte recruitment and exosmosis to TME by down-regulating E-selectin, ICAM-1, and ICAM-2 expressions. Exosomes affect NK cells, DC cells, MDSC, and TAM differentiation and function by transporting peptides, small proteins, non-coding RNAs, and cytokines. The microorganisms in the LC activate the anti-immune response by their specific antigens, and their metabolites recruit specific immune cells. Cytokines and chemokines recruit immune cells and regulate the antitumor immune response. Hormones play an important role in inducing immune cell polarization towards immunosuppressive phenotypes. CAFs, Cancer-associated fibroblasts; DC, dendritic cells; M2-polarized macrophages; NK, Natural killer cells; ECM, extracellular matrix; MDSC, myeloid-derived suppressor cells; ECs, Endothelial cells.


Schematic diagram of the interaction between non-immune cell components and immune cells in the TME of LC. CAFs mediate DC cell tolerance phenotype, inhibit NK cytotoxicity, and promote M2-TAM and MDSC polarization; they participate in ECM remodeling of ECM, inhibiting immune cell infiltration, and immune checkpoint protein expression induces T cell exhaustion. ECs inhibit lymphocyte recruitment and exosmosis to TME by down-regulating E-selectin, ICAM-1, and ICAM-2 expressions. Exosomes affect NK cells, DC cells, MDSC, and TAM differentiation and function by transporting peptides, small proteins, non-coding RNAs, and cytokines. The microorganisms in the LC activate the anti-immune response by their specific antigens, and their metabolites recruit specific immune cells. Cytokines and chemokines recruit immune cells and regulate the antitumor immune response. Hormones play an important role in inducing immune cell polarization towards immunosuppressive phenotypes. CAFs, Cancer-associated fibroblasts; DC, dendritic cells; M2-polarized macrophages; NK, Natural killer cells; ECM, extracellular matrix; MDSC, myeloid-derived suppressor cells; ECs, Endothelial cells.ga1

Le texte complet de cet article est disponible en PDF.

Highlights

Vessel endothelial cells regulate the infiltration and response of immune cells.
Lung microbiome are biomarkers for diagnosis, progression, prognosis of lung cancer.
Metabolites, hormones, neurons regulate immune responses of tumor microenvironment.
Crosstalk between tumor microenvironment affects the efficacy of immunotherapy.
Combined enhancement of immune infiltration and response improve immune efficacy.

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Abbreviations : LC, NSCLC, DC, NK, MDSC, TAM, CAF, TDE, EC, TSA, ICs, ICIs, TME, CTL, TIL, SCLC, LUAD, TAA

Keywords : Immunotherapy, LC, TME, Tumor vaccine, ICIs, Adoptive T cell therapy


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